2-3. Health   [ Achieving MDGs ]

2-3-0. Overall

Yokohama Action Plan	Proposed Measures by Japan/Implementing Partners	Implementing Partners	Potential Resources, Possible Contributions (Summary)
		GoJ(MOFA)/JICA	GoJ (MOFA)/JICA: Grants and technical assistance out of ¥ 43 billion on health (*)

2-3-1. Strengthening of health systems

Yokohama Action Plan	Proposed Measures by Japan/Implementing Partners	Implementing Partners	Potential Resources, Possible Contributions (Summary)
[1]Promote training and retention of health workers to contribute to the joint effort achieving the WHO goal of at least 2.3 health workers per 1,000 people in Africa.	● Support training and retention of health and medical workers, including Skilled Birth Attendants	GoJ(MOFA)/JICA	Training of 100,000 health and medical workers
[2]Improve the provision of health services, including through expansion of health infrastructure and facilities.	● Improve the provision of health services, including through expansion of health infrastructure and facilities	GoJ(MOFA)/JICA/WBG	GoJ (MOFA)/JICA: Improvement of 1,000 hospitals and health centers
			WBG: Expand programs for maternal and child health, malaria, tuberculosis and HIV/AIDS, and strengthening health systems (*)
	● Development Cooperation on Prostheses Production	RTG（TICA）/Prostheses Foundation	RTG: for the year 2010, $ 70,000
[3]Promote establishment of monitoring and evaluation of health systems to enable policy decisions based on precise health information.	● Enhance health management and monitoring of health services, with a special focus on MDGs 1,4,5 and 6	GoJ(MOFA)/WBG/EC/GoV	GoJ/WBG: (i) Support establishment of a new multi-donor trust fund for malnutrition (Japan’s contribution $ 2 million) and (ii) Set up a special grant window of $ 20 million in the JSDF
			EC: € 493.1 million direct support for health under EDF
			GoV: Extend the stay and dispatch of 100 new experts and 30 experts to Africa each year (2007-2010)
[4]Encourage and recognize medical research and exemplary medical service practices combating infectious diseases in Africa through the Hideyo Noguchi Africa Prize.	● Encourage and recognize medical research and exemplary medical service practices combating infectious diseases and strengthening health systems in Africa through the Hideyo Noguchi Africa Prize	GoJ（CAO）	Planning FY 2009 and 2011 to hold symposiums with WHO

2-3-2. Improvement of maternal, new-born and child health

Yokohama Action Plan	Proposed Measures by Japan/Implementing Partners	Implementing Partners	Potential Resources, Possible Contributions (Summary)
[1]Support interventions focusing on reducing under-five mortality rate and maternal mortality ratio.	● Improvement of child health	GoJ(MOFA)/UNICEF and other health related organizations	GoJ (MOFA)/UNICEF and other health-related organizations: Save the lives of 400,000 children
	● Support activitiers to reduce maternal mortality ratio (MMR)	GoJ(MOFA)/UNFPA	Reduction of Maternal Newborn Mortality in Liberia
			GoJ $500,000/UNFPA $100,000
[2]Promote continuum of care for women and children across the span of pre-pregnancy,pregnancy, child birth and childhood via high impact intervention such as provision of immunizations and micro-nutrients for children.	● Support the provision of integrated, community-based approaches to delivering a package of high impact, low cost, health and nutrition interventions for MDGs 1,4,5 and 6	UNICEF	Implement health and nutrition interventions in 51 African countries*
	● Empower mothers in Kericho District South Rift Valley Province for breastfeeding and improve the nutrition status of newborn, infant and children in the area	Health and Development Service (HANDS)	HANDS: Dispatch experts (project manager, technical advisor etc) to be stationed in Kenya, Kericho District Ministry of Health arrange personnels to be stationed at the project office.
[3]Support the international efforts to achieve universal access to reproductive health services.	● Improve the ability of men and women especially the youth, the poor and the marginalized to exercise their rights to access SRH information and high quality services including family planning.	Japanese Organization for International Cooperation in Family Planning (JOICFP)/Planned Parenthood Association of Ghana (PPAG)	Implement the community-operated reproductive health project in Ghana with $30,000 for the year of 2009
	●Prevent and response to Gender-based Violence (GBV)	GoJ/UNFPA	GoJ: $0.8m
			GoJ: $1m
		GoJ/UNFPA/APDA	GoJ: $180,223
		GoJ/UNFPA/FAAPPD/Ethiopian Government	GoJ: $187,958
		GoJ/UNFPA/FAAPPD	GoJ: $200,000/UNFPA: $42,400
[4]Contribute to the international efforts to raise the proportion of birth attended by skilled birth attendant in Africa to 75% in five years, as targeted by WHO.
[5]Others	● Promote community health care in Africa	The Japan Medical Association (as a member of the World Medical Association)	JMA: (i) Make efforts to promote cooperation with the African region based on organizations such as AfMA, (ii) Attempt to improve the gynecological field in Senegal by a Japanese Takemi fellow from the Takemi Program
	● Scale-up results-based financing for health, and buy-down approach for IBRD loans in partnership with private foundations. Increase support to private sector provision of health care and to government departments responsible for regulating private health care providers	WBG/EC	WBG: Buy-down projects in an additional 8 countries
			EC: € 3,441,3 million in general budget support
	● Advance the Programme of Action (PoA) adopted at the International Conference on Population and Development (ICPD)	GoJ(MOFA)/UNFPA/APDA	G8 International Parliamentarians’ Conference on Population and Sustainable Development-Global Health, Climate Change and the MDGs

2-3-3. Measures against infectious diseases

Yokohama Action Plan	Proposed Measures by Japan/Implementing Partners	Implementing Partners	Potential Resources, Possible Contributions (Summary)
[1]Support the Global Fund to Fight AIDS, TB and Malaria (GFATM). [2]Strengthen central government institutions for HIV/AIDS and prioritize prevention of new infections. [3]Support efforts to achieve the target of reducing by 50 % TB prevalence and mortality rates by 2015 relative to 1990 levels, including through prevention, testing, and treatment activities under Direct Observation Treatment, Short-course (DOTS). [4]Promote effective implementation of anti-malaria activities by combining preventive measures including distribution of long lasting insecticide-treated bed nets, and awareness raising and provision of nursing care.	● Scale up efforts to fight HIV/AIDS, Tuberculosis and Malaria * Not including GoJ (MHLW) contribution to UNAIDS	GoJ(MOFA)/JICA/EC	GoJ (MOFA): Pledge and disburse $ 560 million to the Global Fund
			EC: Pledged support for the Global Fund to Fight AIDS, Tuberculosis and Malaria for 2008-2010 of a total of € 300 million(*)
			GoJ (MOFA)/JICA: Grants and technical assistance out of ¥43 billion mentioned above(*)
		GoJ(MOFA)/Japan Anti-Tuberculosis Association(ＪＡＴＡ）	(i) Intensified Case Finding in the community (ii) Early commencement and high completion rate of treatment (iii) Capacity building and sustainable commitment of TB treatment supporters (MOFA’s Grant Assistance for Japanese NGO’s Projects)
[2]Strengthen central government institutions for HIV/AIDS and prioritize prevention of new infections.	● Support research and policy dialogue on HIV/AIDS and care	GoJ(MOFA)/UNDP/EC	GoJ: Support pilot initiative through JAPAN-UNDP Partnership Fund UNDP: Pilot initiative underway
			EC: Estimated EC/EU support for EDCTP amounts to € 500 million for 2008-2013
	● Promote measures against infectious diseases - Prevent the spread of HIV through education	UNESCO	Assist 30 countries participating in EDUCAIDS in Eastern and Southern Africa in implementing activities on the comprehensive national responses development
	● The local residents have access to appropriate VCT services.	GoJ(MOFA)/World Vision Japan	Establish VCT Centres, train VCT Centres’ staff and increase demand for HIV Testing increased
	● Training course on Management of Long-term Adherence to ART (Antiretroviral Therapy)	RTG（TICA）/RTG (Department of Disease Control)	RTG: for the year 2010, $ 70,000
[3]Support efforts to achieve the target of reducing by 50 % TB prevalence and mortality rates by 2015 relative to 1990 levels, including through prevention, testing, and treatment activities under Direct Observation Treatment, Short-course (DOTS).	●Strengthen the community-TB DOTS system by MOH ●Improve the therapeutic performance of TB treatment of HIV/AIDS co-infected patients in the target areas by implementing effective community-TB DOTS.)	JICA/GFATM/AMDA Multisectral & Integrated Development Services	(i) Increase success rate of TB treatment among HIV/AIDS co-infected patients through DOTS strategy by 10％ in the targe areas (base: 88.9％ in Feb. 2006) (ii) Increase cure rate of TB treatment among newly registered smear positive patients to more than 85％ in the target areas (base: 48.4％ in Feb. 2006) (about USD 600,000 for June 2008 - Oct. 2010)
[4]Promote effective implementation of anti-malaria activities by combining preventive measures including distribution of long lasting insecticide-treated bed nets, and awareness raising and provision of nursing care.	● Development Cooperation on Malaria Prevention and Control	RTG（TICA）/RTG (Department of Disease Control)	RTG: For the year 2010, $ 80,000
[5]Support comprehensive efforts to eradicate polio from Africa, through surveillance and vaccination campaigns.
[6]Make efforts to control or eliminate Neglected Tropical Diseases through awareness raising, treatment and access to safe water and sanitation.	● Strengthen control and elimination of Neglected Tropical Diseases (NTD), through greater access to rapid impact interventions and opitimal use of resources through integrated vector management	GoJ（MHLW）/GoJ(MOFA)/JICA	GoJ (MOFA)/JICA: Grants and technical assistance out of ¥43 billion mentioned above(*)
			GoJ (MHLW): Planning FY 2009 to increase/provide budget to WHO
[7]Others	● Further pursue the ’Program of Founding Research Centers for Emerging and Reemerging Infectious Diseases’ commenced in 2005 and strengthen the network between domestic and overseas research centers in countries at high risk of emerging and reemerging infectious diseases to minimize the potential threats to lives caused by these diseases	GoJ（MEXT）	(i) Create international research network on emerging and reemerging infections, (ii) Conduct collaborative research with research institutions in Africa, (iii) Strengthen the network between Japanese and overseas research centers, (iv) Human Resource Development
	● Send Japanese researchers to African universities and research institutions and promote joint research	GoJ(MOFA)/GoJ（MEXT）/JICA/JSPS	Dispatch the most suitable Japanese researchers to developing countries incl. Africa
		GoJ(MOFA)/GoJ（MEXT）/JICA/JST	Promote science and technology cooperation between Japan and developing countries incl. Africa
	● Transfer technology and know-how in low-cost anti-Malaria drug production in a potential African country	RTE	For the year 2009, ca. $ 85,000
	● Support public health system and mobile medical team in rural areas of a potential African country		For the year 2009, ca. $ 16,000
	● Support for private provision of health care	WBG	WBG: Support private sector provision of health care through IFC initiatives of $ 1 billion investment and TA funds

●Concrete projects will be selected through consultations between Japan/Implementing Partners and African countries.
●MDB projects are to be decided.
●$ = US dollars
●Assistance measures written on a yellow ground are those embodied in 2008 (JFY) after TICAD IV.
●Assistance measures written on a pink ground are those embodied in 2009 (JFY) after TICAD IV.